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NPI Code Detail

MEDICARE: RENATTA DAVIS

MEDICARE: RENATTA DAVIS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language Assistant9534SC

General Provider Information

NPI Number : 1083563118
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENATTA DAVIS
Provider Business Mailing Address
First Line : 207 CENTER POINTE RD
Second Line :
City : BELTON
State : SC
Zip : 29627-8380
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 319 GARLINGTON RD STE B5
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4621
Country : US
Telephone Number : 864-417-8423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ RENATTA DAVIS ” Practice Location

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